Evidence map›Paper›PMID 38379420›Full record

ArticleThoracic cancer2024

Mechanism of action of adapalene for treating EGFR-TKI-induced skin disorder.

Chihiro Mimura, Tatsuya Nagano, Nanako Miwa, Kanoko Matsumura, Jun Yamada, Hiroki Satoh, Ratoe Suraya, Daisuke Hazama, Daisuke Tamura, Masatsugu Yamamoto and 3 more

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Chihiro MimuraDivision of Respiratory Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID 0000-0001-9940-3659
Tatsuya NaganoDivision of Respiratory Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Nanako MiwaDepartment of Respiratory Medicine, Kobe City Nishi-Kobe Medical Center, Kobe, Japan.
Kanoko MatsumuraDepartment of Respiratory Medicine, Takatsuki General Hospital, Takatsuki, Japan.
Jun YamadaDivision of Respiratory Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Hiroki SatohDivision of Respiratory Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Ratoe SurayaDivision of Respiratory Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Daisuke HazamaDivision of Respiratory Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Daisuke TamuraTamura Clinic, Takarazuka, Japan.
Masatsugu YamamotoDivision of Respiratory Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID 0000-0003-0596-555X
Motoko TachiharaDivision of Respiratory Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID 0000-0002-4598-220X
Yoshihiro NishimuraDepartment of Respiratory Medicine, Kitaharima Medical Center, Ono, Japan.
Kazuyuki KobayashiDivision of Respiratory Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Kobe University · JPKobe City Nishi-Kobe Medical Center · JPTakara (Japan) · JPTakatsuki General Hospital · JPTokyo-Kita Medical Center · JP

Funding

Japan Society for the Promotion of Science KAKENHI 16K19452
6 · The paper itself

Abstract

backgroundSkin disorders are the most common side effect associated with epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI) therapy. It is important to manage skin lesions. Adapalene has been used to treat skin lesions caused by EGFR-TKIs in some cases. The aim of this study was to investigate the functional mechanism of adapalene in erlotinib-induced skin disorder.

methodsTo analyze the effect of adapalene on skin rash, afatinib and adapalene were administered to mice. The relationship between the concentration of adapalene and skin disorders was also examined by analyzing AQP3 expression. A skin lesion model was experimentally established in human skin keratinocytes (HaCaT) by using erlotinib with TNF-α and IL-1β. We used qRT-PCR to analyze chemokine-induced inflammation and western blotting to analyze the effects of adapalene on the NF-κB signaling pathway. Antimicrobial peptides and adhesion factors were also examined using qRT-PCR.

resultsMice administered 0.01% adapalene had less skin inflammation than mice treated with afatinib alone. The expression level of AQP3 decreased in an adapalene concentration-dependent manner. The mRNA levels of proinflammatory cytokines such as CCL2 and CCL27 in HaCaT cells were significantly reduced by adapalene. The expression of an antimicrobial peptide, hBD3, was upregulated after adapalene treatment. Adhesion factors, such as E-cadherin, were significantly downregulated by EGFR-TKI and significantly upregulated by adapalene treatment. Western blot analysis suggested that erlotinib-induced phosphorylation of p65 was decreased by adapalene.

conclusionWe suggest that adapalene may be a possible treatment option for skin disorders induced by EGFR-TKIs.

Indexed as

Lung NeoplasmsSkin DiseasesAdapaleneAfatinibAnimalsErbB ReceptorsErlotinib HydrochlorideHumansInflammationMiceProtein Kinase InhibitorsAdapaleneAfatinibEGFR protein, humanErbB ReceptorsErlotinib HydrochlorideProtein Kinase Inhibitorsacneiform eruptionafatiniberlotinibmolecular‐targeting agentskin disorder

Identifiers

PMID38379420
PMCPMC10961223
OpenAlexW4392000163

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.